Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,393.00 / $5,549.00 / $10,506.16	Facility		$4,393.00	$5,549.00	$10,506.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.76 / $885.92 / $885.92	Professional		$669.76	$885.92	$885.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,598.24 / $1,797.56 / $2,009.10	Professional		$1,598.24	$1,797.56	$2,009.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $676.83 / $1,183.77 / $3,218.36	Professional		$676.83	$1,183.77	$3,218.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,143.52 / $1,968.43 / $14,525.55	Facility		$1,143.52	$1,968.43	$14,525.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $901.77 / $1,707.72 / $7,167.45	Professional		$901.77	$1,707.72	$7,167.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,298.00 / $2,189.57 / $5,275.65	Facility		$1,298.00	$2,189.57	$5,275.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,598.24 / $2,189.57	Professional		$1,188.00	$1,598.24	$2,189.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,312.60 / $1,842.80	Professional		$6.00	$1,312.60	$1,842.80
United Facility/Professional Facility Modifier Low / Median / High Price $8,220.00 / $9,346.00 / $14,242.22	Facility		$8,220.00	$9,346.00	$14,242.22
United Facility/Professional Professional Modifier Low / Median / High Price $811.52 / $1,553.98 / $2,297.17	Professional		$811.52	$1,553.98	$2,297.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,384.50 / $1,384.50 / $1,628.80	Professional		$1,384.50	$1,384.50	$1,628.80